Issues
October 2009 BRIEF REPORT
- Bending the Curve: Effective Steps to Address Long-Term Healthcare Spending Growth
Joseph Antos, PhD; John Bertko; Michael Chernew, PhD; David Cutler, PhD; Dana Goldman, PhD; Mark McClellan, MD, PhD; Elizabeth McGlynn, PhD; Mark Pauly, PhD; Leonard Schaeffer; and Stephen Shortell, PhD A group of experts who have spent their careers studying the healthcare system have convened to identify a path for sustainable reform in healthcare cost growth. Full Text PDF CLINICAL
- Impact of Compliance With Proton Pump Inhibitors on NSAID Treatment
Mei Sheng Duh, MPH, ScD; Antoine Gosselin, MA; Roger Luo, PhD; Herve Lohoues, PhD; Barbara E. Lewis, PhD; and Joseph A. Crawley, MS Patients with gastroesophageal reflux disease who are compliant with proton pump inhibitor therapy stay on NSAIDs longer than noncompliant patients. Full Text PDF
- Statin Adherence and Mortality in Patients Enrolled in a Secondary Prevention Program
Brandy D. McGinnis, PharmD; Kari L. Olson, PharmD; Thomas M. A. Delate, PhD; and Ryan S. Stolcpart, PharmD Enrollment in a secondary disease prevention program can have a significant impact on statin adherence and subsequent clinical outcomes. Full Text PDF MANAGERIAL
- VA Pharmacy Users: How They Differ From Other Veterans
Sherrie L. Aspinall, PharmD, MSc; Jessica S. Banthin, PhD; Chester B. Good, MD, MPH; G. Edward Miller, PhD; and Francesca E. Cunningham, PharmD A higher proportion of veterans who use VA pharmacy services are black, have no alternative insurance, have lower incomes, are disabled, and report poorer health. Full Text PDF POLICY
- Do Patients Continue to See Physicians Who Are Removed From a PPO Network?
Meredith B. Rosenthal, PhD; Zhonghe Li, MS; and Arnold Milstein, MD, MPH We examined patient response to a narrowing of a preferred provider organization network that effectively raised the out-of-pocket price for a few physicians. Full Text PDF
- Dental Care Coverage Transitions
Richard J. Manski, DDS, MBA, PhD; John F. Moeller, PhD; Haiyan Chen, MD, PhD; Patricia A. St Clair, ScB; Jody Schimmel, PhD; Larry S. Magder, MPH, PhD; and John V. Pepper, PhD This study examines dental insurance transition dynamics in the context of changing employment and retirement status. Full Text PDF Appendix
- The Effect of Certificate-of-Need Laws on Hospital Beds and Healthcare Expenditures: An Empirical Analysis
Fred J. Hellinger, PhD This study found that certificate-of-need laws have reduced the number of hospital beds by about 10% and have reduced healthcare expenditures by almost 2%. Full Text PDF TRENDS FROM THE FIELD
- Healthcare Reform With a Safety Net: Lessons From San Francisco
Andrew B. Bindman, MD; Anders Chen, MD; Jean S. Fraser, JD; Hal F. Yee Jr, MD, PhD; and David Ofman, MD, MA San Francisco is attempting to expand health insurance coverage and access to care while also supporting its healthcare safety net. Full Text PDF FOCUS ON VACCINES
- Delivering Vaccines: A Case Study of the Distribution System of Vaccines for Children
Jason T. Shafrin, PhD; and John M. Fontanesi, PhD During implementation of the Vaccine Management Business Improvement Project, providers experienced longer delivery delays and a higher probability of a Vaccines for Children stockout. Full Text PDF
- Office Manager and Nurse Perspectives on Facilitators of Adult Immunization
Mary Patricia Nowalk, PhD, RD; Melissa Tabbarah, PhD, MPH; Jonathan A. Hart, MS; Dwight E. Fox, DMD; Mahlon Raymund, PhD; Stephen A. Wilson, MD, MPH; and Richard K. Zimmerman, MD, MPH; for the FM-PittNet Practice Based Research Network Factors significantly associated with adult vaccination rates in primary care practices were patients’ age, race, scheduled well-visit length, and nurses’ vaccination status. Full Text PDF Appendix WEB EXCLUSIVE CONTENT
- Preventing Myocardial Infarction and Stroke With a Simplified Bundle of Cardioprotective Medications
R. James Dudl, MD; Margaret C. Wang, PhD, MPH; Michelle Wong, MPH, MPP; and Jim Bellows, PhD Bundled cardioprotective medications with simplified delivery reduced the risk of hospitalization for myocardial infarction or stroke among patients at high risk. Full Text PDF
- Effects of a Medicaid Prior Authorization Policy for Pregabalin
Jay M. Margolis, PharmD; Stephen S. Johnston, MA; Bong-Chul Chu, PhD; Eberechukwu Onukwugha, PhD; Kyle Hvidsten, MPH; Jose Alvir, DrPH; Joseph G. Rossi, PharmD; and C. Daniel Mullins, PhD State Medicaid programs’ pregabalin prior authorization accomplished the objective of lower pregabalin utilization; the unintended effects were increased opioid use and increased disease-related healthcare costs. Full Text PDF
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